Author: Sophia Lomatschinsky, Faisal Faruqi / Editor: Sarah Edwards / Codes: / Published: 01/08/2025
A 45-year-old White-British male with no past medical history presents to the Emergency Department (ED) with a four-day history of right sided testicular pain and swelling.
He describes it as an intermittent niggling pain becoming progressively worse and persistent today. He has no associated urinary symptoms and no urethral discharge. He has no systemic illness.
On examination, he has a swollen and erythematous right testicle, with tenderness to the epididymis. He has normal testicular lie with a normal cremasteric reflex.
On further history-taking, he reports that he last had unprotected intercourse with a female two months ago while abroad on vacation in Cyprus. He has no previous history of sexual transmitted infections STIs and denies having sexual intercourse with men.
